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IEM Mobil-O-Graph NG Operating Instructions Manual Download Page 63

4. 

H

ypertension 

M

anagement 

S

oftware Client-Server

63

Mobil-O-Graph

®

, operating instructions, Rev. 5.1 10/2015,         GmbH

4.13.2  Assign received test series

 

►

After the first measurement the 

 symbol appears in the symbol list. Click on this symbol.

 

►

The 

practice monitoring

 window appears

 

►

Click on 

assign

 

►

The 

selection

 window appears

 

►

Here you can assign the test series to the currently opened patient or to a patient from the patient list.

4.14  Pulse Wave Analysis (PWA)

The  HMS  CS  has,  in  connection  with  the  Mobil-O-Graph

®

,  in  addition  to  the  classic  24h  blood  pressure 

measurement also an integrated system for the pulse wave analysis (PWA). This function can be activated using 
a USB license dongle. The License dongle can be purchased at I.E.M. GmbH or your retailer.

Additionally, a Mobil-O-Graph

®

 with integrated 24h-PWA is offered. This enhanced Mobil-O-Graph

®

 provides 

a bigger memory and an integrated, unlimited license. This allows, for the first time, to record the history of a 
pulse wave parameter for 24 hours

The pulse wave analysis is based on the notion that the arterial blood pressure curve contains hemodynamic 
information that exceeds peripherally measured blood pressure.  This is used to analyse all information regar-
ding the central aortic pulse wave. 

The following values are displayed:

 

■

Central blood pressure

 

■

Central pulse pressure

 

■

Augmentation pressure

 

■

Augmentation index

 

■

Alx@75 [90% confidence interval]

 

■

Cardiac Output [CO]

 

■

Peripheral resistance

 

■

Reflection co-efficient

 

■

Pulse Wave Velocity [PWV]

4.14.1  Installation of the PWA at the doctor’s practice

The PWA functionality is available for the Mobil-O-Graph

®

 with the serial number 6000 upwards in connection 

with the HMS CS Version 2.0 and higher.

If you want to do pulse wave analyses you will need a USB dongle license. This dongle is simply plugged into 
a free USB port on your PC. If all USB ports on your PC are taken, you can purchase a USB Hub for the USB 
port extension at I.E.M GmbH or at your retailer. When you start a PWA measurement afterwards, the dongle 
is recognized and the measurement is authorized.

4.13.2

Summary of Contents for Mobil-O-Graph NG

Page 1: ...4 hour blood pressure monitoring system for the products Mobil O Graph NG Mobil O Graph PWA 0044 Blood pressure monitor Pulse Wave Analysis PWA Analysis unit Hypertension Management Software Client Server Version 5 1 HMS CS 5 1 Dealer EN ...

Page 2: ...e contents may not be copied or published without written permission from I E M GmbH Manufacturer I E M Industrielle Entwicklung Medizintechnik GmbH Cockerillstrasse 69 52222 Stolberg Germany Tel 49 0 2402 9500 0 Fax 49 0 2402 9500 11 e mail iem office iem de Homepage www iem de ...

Page 3: ...Specifying the measurement protocol required 13 3 4 6 Putting on the monitor and starting measurement 14 3 5 Technical data 16 3 6 Symbols 16 4 Hypertension Management Software Client Server 17 4 1 Using HMS CS 17 4 2 Installing the software 18 4 2 1 System requirements 18 4 2 2 Installation for Windows 19 4 2 3 Installation for Macintosh OS X 10 7 5 and later 19 4 2 4 Installation for Linux 20 4 ...

Page 4: ... 11 3 Profile 51 4 11 4 Correlation 52 4 11 5 Values above limit 53 4 11 6 Frequency distributions 53 4 11 7 Report 54 4 11 8 Hourly mean values 55 4 11 9 Changes in blood pressure 55 4 11 10 Printing 56 4 11 11 Comparing several measurement series 57 4 11 12 24h PWA 57 4 11 13 Bar chart PWA 58 4 11 14 Patient report Day Average 59 4 12 e health 60 4 12 1 Activate e health service 60 4 12 2 Import...

Page 5: ...shooting Mobil O Graph 77 6 5 2 Communication errors Stabil O Graph 80 6 5 3 Communication errors Mobil O Graph Bluetooth interface 81 7 Charging units 83 7 1 M2X 83 7 2 TL 4 4 Ultrafast Charger 84 7 3 Operation with alkaline batteries 84 8 Guarantee and repair conditions 85 9 Appendix 87 9 1 EMC guidelines and manufacturer s declaration 87 9 2 Important instructions for the patient 89 9 3 Accesso...

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Page 7: ... find details of installation setting up preparation for monitoring fitting to the patient and evaluation The individual functions are explained later at the point at which they are to be used You will therefore become familiar with use of the blood pressure monitor step by step The user should always have the operating instructions at hand 1 3 Clinical tests The Mobil O Graph blood pressure monit...

Page 8: ......

Page 9: ...ial bleeding can occur on the measurement arm in spite of correct cuff fit The special risk to patients due to anticoagulant treatment or coag ulation disorders is present in all cases irrespective of the type of equipment used in measurement 2 5 Important instructions for the doctor A measurement can be stopped at any time by pressing one of the monitor keys This deflates the cuff Let your patien...

Page 10: ...common arrhythmias such as atrial or ventricular premature beats In the condition of atrial fibril lation the device may not be able to function to its specifications Caution Substitution of a component different from that supplied might result in measurement error 2 6 Important instructions for the patient The beep signals a measurement Keep still during the measurement until the process is compl...

Page 11: ...etected such as nocturnal values and blood pres sure variations This allows the doctor to prescribe the optimum medication for the individual and to monitor the therapeutic outcome 3 2 Unpacking All parts supplied are packed carefully for dispatch and checked for completeness and correct function Should the goods supplied be incomplete or damaged please notify the supplier without delay 3 3 The mo...

Page 12: ...uff pressure required to allow the systolic blood pressure to be meas ured This maximum inflation pressure is stored and is then approached immedi ately by direct inflation for the subsequent automatic measurements The patient can use the Start key to take manual measurements in addition to the pre set measurement cycle 3 3 2 Display The LCD display is located on the front of the recorder housing ...

Page 13: ...rrectly and completely the complete code is constantly being checked for correctness in the background Current 24 hour time 21 45 Example If a fault occurs during the internal test the recorder shows E004 on the display and emits an acoustic signal For safety reasons use of the recorder is blocked Return the recorder to your specialist dealer or directly to I E M GmbH for repair without delay 3 4 ...

Page 14: ... 9 is the Schellong test Protocol 10 transmits the values automatically after each measurement to your doctor s PC via Bluetooth or to a database via mobile communications such as a mobile phone or modem precon figured by I E M see 4 8 1 Setting the measurement protocol Only preconfigured mobile phones or modems can send the data via GPRS as a block of data Protocol 11 is only available for the Mo...

Page 15: ...equired i e the cuff must be the correct size for the patient Using the tape measure supplied measure the circumference at the middle of the upper arm and select the appropriate cuff Upper arm circumference Cuff 14 20 cm XS 20 24 cm S 24 32 cm M 32 38 cm L 38 55 cm XL 8 Connect the air tube from the cuff to the ABP recorder Push the tube firmly over the connection until a click is heard as it enga...

Page 16: ...ies each 1 2 V and at least 1500 mAh AA Mignon 2 alkaline 1 5 V batteries AA Mignon Interfaces Serial cable Infrared IEM specific Bluetooth Class 1 100 m 3 6 Symbols Battery symbol Meaning The symbol shows the type of voltage Disposal of used electrical and electronic appliances Meaning This symbol on a product or its packaging indicates that the product should not be treated as normal household w...

Page 17: ... distribution see 4 11 9 Changes in blood pressure Curve comparison for optimising treatment see 4 11 9 Changes in blood pressure In this way you can rapidly and simply visualise the course of and fluctuations in blood pressure over the day and night You can adjust medication to take the best possible account of these changes You can also enter measurements from the Klock the wrist blood pressure ...

Page 18: ...g the USB interface and or Bluetooth you must first install the corresponding driver You can find the details below Note Please insert the USB adaptor USB stick or cable with USB interface only after installing the software onto your computer or when prompted to do so 4 2 1 System requirements 1 Computer 1 GHz 1 GB RAM 200 MB hard disk storage 1024x768 pixels Two spare USB ports 2 Operating system...

Page 19: ...ick HMS CS Setup The installation wizard will appear Follow the instructions on the screen Installing the Bluetooth driver Note Please insert the Bluetooth adaptor only after installing the software onto your computer or when prompt ed to do so For the Bluetooth Adapter DIGITUS no driver software is needed In the installation menu click Bluetooth driver Follow the instructions on the screen Instal...

Page 20: ...lready installed version of the Hypertension Management Software to the latest version is no dif ferent from installing the software from scratch Settings which have already been selected are not changed dur ing an update With regard GDT German communication standard HL7 and network settings the user does not need to do anything when carrying out an update Before updating the Hypertension Manageme...

Page 21: ...tosh or Linux are required for using HMS CS Starting the program On the desktop double click HMS CS starts up Information about the progress of loading the program appears e g program version progress bar Quitting the program In the work window in the toolbar at the top click If you have previously modified data you will be asked if you want to save the data Information about the progress of quitt...

Page 22: ...e e health database Change ID Change personal patient number of the currently modified patient see 4 6 4 Change Personal Patient Number Patient ID Export Patient Manual export of a patient to the e health database Delete modification Reverse modifications on a currently opened patient data base Menu Measurement series Menu item Function Export Excel save the currently selected test series in an Ex...

Page 23: ...rt PWA A pulse wave analysis will be started in the Mobil O Graph Bluetooth red Bluetooth not active green Bluetooth active e health symbols Export current patients to the e health data base Synchronize current patients with the e health data base Quit program Quit HMS CS Practice Monitoring Receive test series via the Practice Monitoring Note You can call up some of these functions via menu items...

Page 24: ... line Patient information is shown in the control window Top right in the window you will see the patient s name and date of birth The Patient information tab contains several fields address patient data emergency contacts medical history and medication 4 5 2 Displaying sample patient s data Click on the Measurements tab header The Measurements tab contains on the left a list of the monitoring ses...

Page 25: ...ation about analyses under 4 11 Analysing measurements 4 5 3 Quitting HMS CS In the toolbar at the top click If you have previously modified data you will be asked if you want to save the data Information about the progress of quitting appears The HMS CS control window disappears 4 6 Editing patient data Patient information is stored in a database You can Enter new patients see 4 6 1 Entering new ...

Page 26: ... click In both cases this takes you back to the control window The Patient information tab contains several fields address patient data emergency contacts medical his tory and medication 4 6 2 Selecting existing patient Select a patient from all the patients entered in HMS CS in order to view his her previous measurements prepare the monitor for this patient or to import the values from a 24 hour ...

Page 27: ...enting or modi fying patient data If you do not find the required patient click The window New patient appears for how to proceed further see 4 6 1 Entering new patient 4 6 3 Supplementing or modifying patient data To modify an address or patient data type the new details in the respective fields To add emergency contacts medical history and medication click Another window appears Type the new det...

Page 28: ...a synchronization with the IEM server for further information please contact your specialist dealer or I E M GmbH directly To enter measurements yourself In the control window click the Blood Pressure tab Click on Practice Measurement on the left of the list and then on Manual Measurement Type the measurements date and time in the window Manual BP measurement Click 4 6 8 Enter office measurements ...

Page 29: ...After 24 hour monitoring session Take the monitor off the patient and connect it by cable to the PC Read out measurements from monitor and save them in HMS CS under patient information Connecting the PC with the Mobil O Graph by cable Step Mobil O Graph PC 1 Switch off the Mobil O Graph 2 Establishing a connection between Mobil O Graph and PC a via serial interface COM1 2 with cable or combi cable...

Page 30: ...M1 2 as the interface see 4 12 4 Interfaces Preparing the Mobil O Graph for 24 hour monitoring Starting situation Monitor is connected to the PC Mobil O Graph is switched on PC is switched on Mobil O Graph interface recognises HMS CS Step Mobil O Graph PC 1 Start HMS CS Display the patient see 4 6 1 Entering new patient and 4 6 2 Selecting existing patient In the toolbar click Caution If battery v...

Page 31: ...PC with Mobil O Graph via cable After 24 hour monitoring send the data from the recorder to HMS CS Starting situation Mobil O Graph is on the patient s arm and is switched on Step Mobil O Graph PC 1 Switch off the Mobil O Graph Take the monitor off the patient take off the cuff and disconnect the recorder 2 Establish a connection between Mobil O Graph and PC a via serial interface COM1 2 with cabl...

Page 32: ...e question appears Delete patient ID and measurements from the recorder Click After data transmission the window Measurement series appears If necessary change the times for the daytime and night intervals Click The transmitted measurements are displayed as a Table of measurements 2 Switch off the Mobil O Graph Disconnect cable pull the plug from the data port For further analysis of the measureme...

Page 33: ...l O Graph and change to PAIr mode 2 Switch on the Mobil O Graph Change to PAIr mode Hold down and press Press until PAIr flashes on the display Press PAIr stops flashing and the buzzer sounds 3 Click After a moment the serial number appears in the window for example C00607 Click the serial number Click The message appears Pairing successful Click The window Connection with device appears Click 4 B...

Page 34: ...ient see 4 6 1 Entering new patient and 4 6 2 Selecting existing patient 3 Hold down and press bt flashes on the display Press bt stops flashing and the buzzer sounds 4 The window Action of device appears 5 Buzzer sounds twice 6 Click Caution If battery voltage is insufficient for 24 hour monitoring a message will appear Please note this information The window Prepare monitor appears Set the proto...

Page 35: ...cognises HMS CS Step Mobil O Graph PC 1 Start HMS CS The active Bluetooth connection is shown in the Toolbar The window Action of device appears 2 Take the monitor off the patient take off the cuff and disconnect the recorder Hold down nd press bt flashes on the display Press bt stops flashing and the buzzer sounds 3 Buzzer sounds twice 4 Click The question appears Assign measurements to patient w...

Page 36: ... Test the monitor and put it on the patient After 24 hour monitoring Take the monitor off the patient take off the cuff and disconnect the recorder Read out measurements from monitor and save them in HMS CS under patient information Connect PC to Mobil O Graph via IR Med infrared interface Step Mobil O Graph PC 1 Switch off the Mobil O Graph 2 Establish a connection between Mobil O Graph and PC a ...

Page 37: ...e Serial IR USB tab Set COM1 2 as the interface see 4 12 4 Interfaces Preparing the Mobil O Graph for 24 hour monitoring Starting situation Monitor is connected to the PC Mobil O Graph is switched on PC is switched on Mobil O Graph interface recognises HMS CS Step Mobil O Graph PC 1 Start HMS CS Display the patient see 4 6 1 Entering new patient and 4 6 2 Selecting existing patient In the toolbar ...

Page 38: ...necessary to activate the protocol After 24 hour monitoring session connect PC to Mobil O Graph via IR Med infrared interface After 24 hour monitoring session transmit data from the monitor to HMS CS Starting situation Mobil O Graph is on the patient s arm and is switched on PC is connected to IR Med infrared interface Step Mobil O Graph PC 1 Switch off the Mobil O Graph Take the monitor off the p...

Page 39: ...nitor Before monitoring a patient send via HMS CS information about the planned monitoring to the monitor Starting situation Monitor is connected to the PC Monitor is switched on PC is switched on and HMS CS is open HMS CS recognises interface for monitor See 4 7 Using the Mobil O Graph and 4 10 Using the Stabil O Graph optional Depending on the monitor it will run through the following steps Mobi...

Page 40: ...h interface on your PC Steps 1 6 under 4 7 2 must be performed and the patient in question opened in the HMS CS If you are interested in telemonitoring or require further information regarding practice monitoring you can obtain this from your specialist dealer or directly from IEM GmbH Protocol 11 activates the additional pulse wave analysis The intervals for blood pressure monitoring and pulse wa...

Page 41: ...w Device testing appears Its content depends on the type of monitor Mobil O Graph Stabil O Graph optional Click the function key in question Confirm with Complete testing Click 4 8 5 Deleting old measurements Measurements in the monitor are usually deleted after transmission to the PC If however there are still old Measurements from a previous patient in the monitor HMS CS will indicate this when ...

Page 42: ...e preparation in HMS CS you can start monitoring the patient Starting situation The monitor should be disconnected from the PC Put the monitor on the patient put on the cuff and connect it to the recorder Switch on the monitor Ensure that the monitor works as it should Press for a manual measurement Wait for the first automatic measurement If everything is in order the patient can leave 4 8 9 Star...

Page 43: ...f monitor with the PC Start HMS CS 4 9 3 Connecting HMS CS to the Stabil O Graph Connect the switched off monitor with the PC Start HMS CS 4 9 4 Importing measurements from monitor into HMS CS Start HMS CS If the program is set up for this the window Patient list will appear see 4 12 7 Extras In this case select a patient see 4 6 2 Selecting existing patient If using the IR interface or cable in t...

Page 44: ...itoring session which you have imported from a monitor into HMS CS and analysed in a file Using this file you can for example import these data into your practice s sys tem Display the required patient see 4 6 2 Selecting existing patient In the control window click the Measurements tab The Measurements tab contains on the left a list of the monitoring sessions already performed Click the monitori...

Page 45: ...nitor to the PC Configure the monitor in HMS CS Set the monitor for the patient using HMS CS Test the monitor and put it on the patient After monitoring Take the monitor off the patient and connect it to the PC Read out measurements from monitor and save them in HMS CS under patient information Connect PC to Stabil O Graph Step Stabil O Graph PC 1 Switch off the PC 2 Establish a connection between...

Page 46: ...In the window Interfaces click the Serial IR USB tab Set COM1 2 as the interface see 4 12 4 Interfaces Prepare Stabil O Graph for monitoring Starting situation Monitor is connected to the PC Stabil O Graph is switched on PC is switched on HMS CS recognises the interface for Stabil O Graph Step Stabil O Graph PC 1 Start HMS CS Display the patient see 4 6 1 Entering new patient and 4 6 2 Selecting e...

Page 47: ...ement to ensure that the monitor works as it should If everything is in order the patient can leave At the patient s next visit connect PC to the Stabil O Graph via IR Med infrared interface You can transmit the data from the monitor to HMS CS Starting situation Stabil O Graph is switched on PC is connected to IR Med infrared interface Step Stabil O Graph PC 1 Switch on the PC 2 Point the Infrared...

Page 48: ...w Patient list will appear see 4 12 7 Extras In this case select a patient see 4 6 2 Selecting existing patient In the toolbar click The question appears Assign measurements to patient with ID number xxx Click After data transmission the window Measurement series appears If necessary change the times for the daytime and night intervals Click The question appears Delete patient ID and measurements ...

Page 49: ...8 Hourly mean values Changes in blood pressure see 4 11 9 Changes in blood pressure Printing Patient information and analyses of measurements see 4 11 10 Printing 24h PWA see 4 11 12 24h PWA Bar chart PWA see 4 11 13 Bar chart PWA Patient report see 4 11 14 Patient report Day average Tip If your mouse pointer hovers over a tab a brief explanatory text will appear Tooltip Display the patient you wa...

Page 50: ...g 24h BP monitor automatic measurement Commenting on a measurement Click the column Commentary in the required row Type in your comment Press the return key Excluding a measurement If one measurement is a complete outlier and would therefore falsify a representative 24 hour analysis you can exclude it Click the column No in the required row The number of the measurement disappears and that value i...

Page 51: ...or hide heart rate Click the option button Heart rate Display single measurements In the diagram click the required time point A vertical line appears and the measurements are displayed in a window Tip To see neighbouring measurements move the mouse over the diagram The vertical line follows the mouse movement and the respective values are displayed Click again to turn off this display Zooming in ...

Page 52: ...zontal set point curves Note You can set these values in the Patient information tab in the BP limits field Zooming in increasing the size of the diagram Use the mouse to click in the diagram hold the mouse button down and drag open the section from left to right Zooming out return diagram to original size Use the mouse to click in the diagram hold the mouse button down and drag open the section f...

Page 53: ...t 4 11 5 Values above limit The values of one measurement series are analysed according to the BP limits set Various pie charts show the percentages of acceptable too high and normal measurements Note You can set BP limits on the Patient information tab in the BP limits field To display the values above limit click on the tab 4 11 6 Frequency distributions The frequency distributions of systolic a...

Page 54: ...standard deviation of the meas urements Below Systolic and Diastolic you will see the frequency distribution of the measurements The frequency distri bution shows how many measurements out of all the valid measurements lie above a particular value The BP limit set for this patient is used as a starting value Note You can set the BP limits on the Patient information tab in the BP limits field The r...

Page 55: ...n value h click the required number of hours 1 2 3 4 6 8 The intervals in the left hand column are displayed accordingly The hourly mean values are recalculated Printing hourly mean values Click on the tab see 4 11 10 Printing 4 11 9 Changes in blood pressure You can use this analysis to monitor the morning rise in blood pressure The following values in the measure ment series are displayed graphi...

Page 56: ...se and the time and magnitude of the maximum rise The upper BP lim its systolic diastolic are shown as horizontal set point curves Note You can set these values in the Patient information tab in the BP limits field Display single measurements In the diagram click the required time point A vertical line appears and the measurements are displayed in a window Tip To see neighbouring measurements move...

Page 57: ...e first measurement The measurement series is highlighted Hold down the Ctrl key and then click on the further measurement series you require These measurement series are then also highlighted Click the header tab of the required analysis Example Comparison of BP profile from two measurements 4 11 12 24h PWA In this analysis the PWA history is displayed over a 24h period at preset protocol 11 In a...

Page 58: ...measurements with protocol 10 or protocol 11 the peripheral and central blood pressure readings are shown as a function of time The bar chart PWA directly compares these blood pressure readings Peripheral blood pressure readings are shown in blue while central blood pres sure readings are shown in yellow The following measurements can be shown in the bar chart PWA as an option TVR total vascular r...

Page 59: ...lculated Arterial stiffness The arterial stiffness area displays the PWV pulse wave velocity measured for large vessels and the augmentation index at a heart rate of 75 1 min AIx 75 in the case of small vessels Vascular age The vascular age area shows the vascular age of the patient determined from the haemodynamic information The vascular age display can be set in the Hypertension Management Soft...

Page 60: ...vascular age relative Option 2 Depiction with smiley vascular age absolute Option 3 Depiction without smiley vascular age relative Option 4 Depiction without smiley vascular age absolute 4 12 e health The HMS CS supports the e health service data base telemedicine provided by I E M GmbH Using this ser vice you can setup your own virtual patient clinic Vital values measured by the patient himself a...

Page 61: ... the patient ID is used Click on save The window disappears 4 12 2 Import Patients from e health server Click on The patient list window appears Click on import patient The import window appears Check the patients which you want to import from the e health server to your HMS CS Click on import and the patients highlighted in blue will be imported into your HMS CS including existing test series 4 1...

Page 62: ...t series is trans ferred directly via Bluetooth to a practice computer Each measurement is transferred wirelessly to the HMS CS and can be analyzed by the Doctor directly You can use the practice monitoring for intervention during high pressure crises minimum invasive intervention Warning The system does not provide an alarm function 4 13 1 Prepare Mobil O Graph for the practice monitoring The Blu...

Page 63: ...me to record the history of a pulse wave parameter for 24 hours The pulse wave analysis is based on the notion that the arterial blood pressure curve contains hemodynamic information that exceeds peripherally measured blood pressure This is used to analyse all information regar ding the central aortic pulse wave The following values are displayed Central blood pressure Central pulse pressure Augme...

Page 64: ...he measurement When all measurement steps of the PWA ran successfully please click on 4 14 3 Triple Pulse Wave Analysis Triple PWA measurements refer to three individual PWA measures taken one after the other with short intervals in between This method is used to detect possible white coat hypertension in the doctor s office Connect the Mobil O Graph to the HMS CS via Bluetooth If you use Bluetoot...

Page 65: ...x is always cited in the literature in dependence of sex age and heart rate For this reason a standardized display in accordance with these conditions is often used First the augmentati on index is standardized using an empiric determined regression 1 to 75 heart beats This parameter is then described as Alx 75 If you analyse a representative cross section of the population as for example descri b...

Page 66: ...espective age with the associated confidence interval The AIx 75 or PWV can be depicted in both diagrams only in patients aged 20 years or over if the quality of data of a PWA measurement is also adequate for the AIx 75 or PWV to be depicted If one of these criteria is not met the following message appears in the diagrams The data cannot be depicted due to age The data cannot be depicted due to qu...

Page 67: ...anguage Colours see 4 16 7 Setting colours for curves and background in graphs which window appears after starting the program see 4 16 8 Extras Technical setting Interfaces see 4 16 4 Interfaces Database see 4 16 1 Database e Health Service see 4 16 3 e Health service Bluetooth see 4 16 8 Extras GDT settings see 4 16 9 To set standard values in the menu bar click settings and then the required fu...

Page 68: ...he window e Health service appears Type in the required details Click The window disappears Further information can be found in chapter 4 12 4 16 4 Interfaces Here you can set the interface that connects the monitor to your PC Possible connections Cable with serial interface COM1 2 Combi cable with USB interface Infrared IR with serial interface Infrared IR with USB interface Bluetooth In the menu...

Page 69: ...y test for Serial IR USB interface Click the interface of the monitor that you want to test Click A window appears with the results of the connectivity test If no connection to the monitor can be established a message to this effect appears Setting Bluetooth interface for a monitor In the Bluetooth tab click The instruction appears Switch on the Mobil O Graph and change to PAIr mode Switch on the ...

Page 70: ...mprehensive tables in 2010 Management of high blood pressure in children and adolescents recommendations of the European Society of Hypertension Lurbe et al Journal of hypertension accepted Jun 9 2009 which constitute the basis of the thresholds set for the HMS CS The thresholds are determined on the basis of 95 percentile curve The limit value can then be defined as one which is either equal or l...

Page 71: ...al start interval to the four day time intervals Static start Start time of the graphic display Tabular display Here the analysis report can be switched to a tabular display With or without day night button Settings for the start times of the four day time intervals 4 16 7 Setting colours for curves and background in graphs In the menu bar click Settings and then Colours The window Colours appears...

Page 72: ...lish your required settings Click The window disappears 4 16 9 GDT settings GDT is a data exchange format used by General Practitioners in the German healthcare system The GDT interface is used to transmit data independently of the type of system between medical measurement devices and practice IT systems GDT settings are required for the automatic transfer of patient data between your practice s ...

Page 73: ...HMS Client Server Practice IT system enter the name of the GDT file that will be exporting the HMS CS Report to your practice s system The same name must be set in both the HMS CS and the practice s system 4 16 10 Manufacturer information In the menu bar click on then on About The Version window will then appear In the Version window the following information will be shown regarding the Hypertensi...

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Page 75: ... sleeve can be washed in a washing machine at max 30 C using a mild washing powder do not spin Do not use fabric softeners or other aids e g disinfectant rins es textile deodorants These solutions may leave residues and dam age the material The cuff sleeve is not suitable for drying in a tumble dryer It is important to ensure that the disinfectant is washed off completely before setting the cuff i...

Page 76: ...atic circuit Batteries Rechargeable batteries age Batteries that are damaged or with which 24 hour monitor ing is no longer possible must be replaced immediately The batteries will last substan tially longer if they drain completely before charging them The batteries supplied are of the nickel metal hydride NiMH type Self discharge of these batteries depends on the ambient temperature It is theref...

Page 77: ...urely connected and the infrared interface is correctly pointed towards the monitor Check whether the monitor computer and printer are switched on depending on version obtained Check whether the connector cable is fitted to the correct serial interface COM1 to COM4 Check whether the batteries are adequately charged Note Some errors are associated with a continuous alarm for safety reasons The cont...

Page 78: ...Communication via cable Switch the Mobil O Graph off and then on again without pulling out the plug 2 Communication via IR Press and hold Start again and press Day Night Use Start to select co 3 Communication via BT Press and hold Start again and press Day Night Use Start to select bt No automatic measurements are performed 1 No manual measurement was performed after putting on the equipment 1 Aft...

Page 79: ...for repair without delay 2 Blood pressure cuff is not cor rectly connected 2 Connect the cuff with the moni tor see 3 3 5 Cuff connection 3 Leak in cuff or connecting tube 3 If necessary replace the cuff or connecting tube Err 7 The recorder memory is full max imum 300 measurements and events may be stored Delete data from the monitor but make sure that the data has been saved see 3 4 2 Clearing t...

Page 80: ...ing the first meas urement The cuff does not fit the upper arm of the patient Using the tape measure supplied measure the arm circumference and compare it with the printing on the cuff 6 5 2 Communication errors Stabil O Graph Error symptom Remedy Data transfer not possible 1 The Stabil O Graph must display co 2 Connect the infrared interface securely with the PC 3 Set the correct serial interface...

Page 81: ...roblem between Mobil O Graph and Bluetooth module Try again If the error continues send the unit to your dealer or directly to I E M GmbH for checking Code 4 The Mobil O Graph Bluetooth interface is not yet paired with the Bluetooth dongle Follow the steps in Chapter 4 7 2 Connection via Bluetooth Code 5 The Mobil O Graph Bluetooth interface could not connect to the computer s Bluetooth dongle Try...

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Page 83: ...d from the power supply Clean the unit with a soft dry cloth Do not use cleaning fluids Safety instructions Never load non rechargeable batteries These may leak or explode and cause damage to health Do not dismantle the unit or the charger cable Cease using the unit if it has been damaged 7 1 M2X If you are using the M2X or a structurally identical charging unit you must observe the following inst...

Page 84: ...heck their polarity Note the signals of the upper red LEDs They indicate the charging process and the completion of charging Remove the charged batteries The red light in question must be flashing Figure TL 4 4 Ultrafast Charger model Charging station LED red light Batteries are being charged quick charge LED flashing red light Batteries are charged trickle charge Note when battery is correctly lo...

Page 85: ... directly due to flaws in material construction or manufacture Repair If the unit has functional errors or if constant measurement anomalies occur you should con tact your Mobil O Graph specialist dealer or I E M GmbH directly for repair and despatch instructions Caution Do not open the housing If the unit has been opened all guarantees become null and void MTK As evidence of continuing to comply ...

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Page 87: ...it able for use in establishments other than domestic establishments and those directly connected to the public low voltage supply network that supplies build ings used for domestic purposes Guidelines and manufacturer s declaration electromagnetic immunity The Mobil O Graph blood pressure monitor is intended for use in the environment specified below The pur chaser or user of the Mobil O Graph bl...

Page 88: ...ixed RF transmitters an electromagnet ic site survey should be considered If the measured field strength in the location in which the Mobil O Graph blood pressure monitor is used exceeds the applicable RF compliance level above the Mobil O Graph blood pressure monitor should be observed to verify normal operation If abnormal performance is observed addition al measures may be necessary such as reo...

Page 89: ... be interrupted at any time by pressing any of the keys This deflates the cuff Warnings The cuff may only be worn on the upper arm and in every case you should ensure that neither the shoulder strap nor the air tube can ever become wrapped around your neck The air tube should therefore always be worn under the outer clothing even at night Take care to ensure that the tube of the cuff cannot be kin...

Page 90: ...h Universal Case Complete cuff tube 50 cm Air connector for cuff tube Battery charger I E M rechargeable battery AA 1 2 V Batteries AA 1 5 V Pack of 4 PC combi cable serial PC combi cable USB Combi Handbook Infrared component IR med serial Infrared component IR med USB Bluetooth USB dongle HM software for Windows CD update HMS client server PWA Dongle I am interested in a further ABP monitor Mobil...

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